SAT: Stabilize • Assess • Treat

Assessments at The Pearl

Women often arrive at treatment carrying more than one concern. Substance use may be connected with trauma, anxiety, depression, relationships, family patterns, grief, or ways of coping that once helped them survive.

Driveway approach and front entrance at The Pearl
Arrival
Covered porch with a rocking chair at The Pearl
Porch
Pool and covered pavilion at The Pearl
Pool & pavilion

When repeated treatment has not answered the deeper questions

Who may benefit from an assessment conversation

SAT: Stabilize • Assess • Treat is intended to create time for those connections to be understood with care. The process helps the individual, her family when authorized, and the clinical team develop a fuller picture before discussing what should come next.

Is navigating substance use alongside anxiety, depression, trauma, or other mental health concerns.

Has experienced repeated treatment or relapse without enough clarity about the underlying patterns.

Needs a safer, more stable setting in which to participate in assessment.

Is affected by family-system or relationship concerns that may influence recovery.

Has existing professionals or loved ones seeking a more coordinated understanding of her needs.

Is unsure what level or type of care should be considered next.

Individual review

SAT cannot guarantee a diagnosis, admission, placement, or result. Recommendations depend on the individual's needs and the information available to the clinical team.

One individualized process

What SAT means

SAT is not a fixed checklist. The assessment plan is shaped around the questions the individual, family, referring professional, admissions team, and clinical team are trying to understand.

Stabilize

When clinically indicated, support may first focus on helping the person reach enough stability to participate meaningfully in assessment and planning. The level and type of stabilization are individualized.

Assess

The team considers the person's history, current concerns, previous care, strengths, daily functioning, relationships, and other relevant information to develop a more complete clinical picture.

Treat

Findings inform treatment recommendations and possible next steps. These may include care in a Foundation Stone setting or an outside provider when another option may be more appropriate.

The value of context

Assessment beyond a single appointment

SAT is not built around testing alone. Formal psychological assessment is considered alongside day-to-day observation in a residential environment and input from a multidisciplinary team. This may help the team connect information that can be difficult to understand during a single appointment or when each concern is considered in isolation.

We help you understand where things stand, what direction may make sense next, and how to move forward with support.

Outdoor firepit seating on the grounds at The Pearl

Assessment in a women-centered community

What the assessment process may include

The Pearl's residential community combines clinical care, daily structure, and connection among women. Warmth and community do not replace clinical assessment — they provide a setting in which careful observation, honest conversation, and professional care can take place.

  • 01
    Psychological assessment

    Formal assessment selected by Dr. Todd Corelli according to the individual and the questions being explored.

  • 02
    Clinical interviews

    Conversations that consider current concerns, strengths, goals, history, and previous treatment experiences.

  • 03
    Records and history review

    Review of relevant available information to understand previous care and the context surrounding current concerns.

  • 04
    Residential observation

    Real-world observation of daily functioning and patterns within the residential environment.

  • 05
    Family and professional input

    Information from family members or referring professionals when authorized and clinically appropriate.

  • 06
    Other clinical consultation

    Additional assessment or consultation when clinically indicated and included in the individualized plan.

The exact components, order, and pace are individualized. SAT does not promise a particular diagnosis, admission, placement, or outcome.

Living room seating area at The Pearl
Living room
Kitchen with checkerboard flooring at The Pearl
Kitchen
Shared bedroom with twin beds at The Pearl
Bedroom

Assessment pathways

Time to understand the full picture

Three assessment pathways allow the timeframe and scope to reflect the clinical questions being explored. Admissions and clinical review help determine which pathway may be appropriate.

10-day pathway

10-Day Comprehensive Assessment

A focused residential assessment intended to support diagnostic clarification, treatment recommendations, and planning for possible next steps.

14-day pathway

14-Day Advanced Assessment

An extended assessment that allows additional time for observation, stabilization when clinically indicated, authorized family input, and diagnostic refinement.

Individualized pathway

Custom Assessment

A different timeframe or scope may be developed when the clinical questions and the individual's needs call for another approach.

At the conclusion

What individuals and families may receive

Deliverables depend on the individualized assessment plan and the information available to the clinical team.

A written psychological report
Diagnostic clarification
Treatment recommendations
Feedback and review with the individual
Family review when authorized and appropriate
A recommended roadmap for next steps
Coordination with future providers when appropriate
A clearer direction for continued planning
Dining room with a long table at The Pearl
Dr. Todd Corelli, psychologist leading the SAT assessment process

Clinical leadership

Meet Dr. Todd Corelli

PhD – Psychologist

Dr. Todd Corelli is a psychologist listed on The Pearl's clinical team. He leads the assessment process for SAT. For more than 30 years, he has worked with families, teenagers, and young adults.

He earned his PhD in Clinical Psychology from Brigham Young University and completed a pediatric psychology residency at Michigan State University College of Human Medicine.

His work with families and professionals in the United States and internationally has shaped a perspective grounded in genuine connection, emotional safety, and a balance of warmth and structure.

Life at The Pearl

A residential community built for connection and care

When SAT is delivered at The Pearl, the assessment takes place within the same residential community used for ongoing treatment — daily structure, shared spaces, and connection among women.

Grand foyer and staircase at The Pearl
Foyer
Sitting room at The Pearl
Sitting room
Window-lined sunroom at The Pearl
Sunroom
Front exterior and turret of The Pearl
Front exterior
Outdoor pool beside the main house at The Pearl
Pool
Pilates studio with reformers at The Pearl
Pilates studio
Individual review

SAT may also determine that a different Foundation Stone setting better fits the individual's clinical and stabilization needs.

Frequently asked questions

A clearer place to begin

What does SAT stand for?

SAT stands for Stabilize, Assess, Treat. It is a residential assessment process intended to help individuals, families, and referring professionals develop a fuller understanding before making longer-term treatment decisions.

Is SAT the same as admission to The Pearl?

No. An SAT assessment does not guarantee admission to The Pearl. The team discusses possible next steps based on the information available and may recommend another resource when appropriate.

Is the assessment residential?

Yes, typically 10–14 days, with a Custom Assessment available when clinically appropriate.

Is every assessment the same?

No. Dr. Todd Corelli determines the assessment approach according to the individual and the questions the team is trying to understand. Components and areas of focus vary according to clinical need.

Will I receive a diagnosis or written report?

Depending on the individual's needs, this may include a written psychological report, diagnostic clarification, treatment recommendations, feedback and review with the individual, family review when authorized and appropriate, and a recommended treatment roadmap.

Can family members or current providers be involved?

Family members and current professionals may contribute information or participate in review and planning when authorized by the individual and clinically appropriate.

Does SAT accept insurance?

Our admissions team can answer specific pricing and insurance questions directly.

How do I begin?

Contact The Pearl's admissions team. They can learn more about what has been happening and discuss whether SAT may be appropriate based on the information available.

A thoughtful next step

Begin with a conversation

You do not have to organize the entire story before calling. The admissions team can listen to what has been happening, answer questions, and discuss whether SAT may be appropriate.

Aerial view of The Pearl estate

125 Upper Elgin River Road, Elgin, TX 78621